the dentist instructs the dental assistant to create a list of improvements that would enhance the dental office

Warm up, exercise, cool down

Because without physical activity, the body has extra "energy" if you will, and so when it is time for bed you are not tired, so you end up staying up all night. also there is probably an effect on your internal clock, which messes with your melatonin production which goes hand in hand with your sleep cycle

The answers is gonna be 20